Individual
DR. SANTIAGO FABIAN MOSCOSO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 CAMPUS RIDGE DR, MIDLAND, MI 48640-6128
(989) 839-6188
(989) 839-6221
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
30205
NE
207RH0003X
Hematology & Oncology Physician
Primary
4301510406
MI
207RH0003X
Hematology & Oncology Physician
44063
IA
Other
Enumeration date
07/13/2011
Last updated
03/05/2024
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